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* 1. Age at time of trip

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* 2. Drug(s) taken

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* 3. Amount taken (actual measurement and/or # of doses):

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* 4. Surroundings (setting, location, who were you with, atmosphere)

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* 5. Trip details (please include: physical details, mental details, emotional details & anything else you'd like to add)

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* 6. What was good about your trip?

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* 7. What didn't you like about your trip?

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* 8. How did you deal with the negative aspects? What worked? What didn't?

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* 9. What did you learn about dealing with bad trips? What will you do next time (before, during, or after your trip)?

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* 10. What advice would you give someone else about dealing with a bad trip?

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